{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:58:57Z","timestamp":1791467937694,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR003167"],"award-info":[{"award-number":["UL1TR003167"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG072042"],"award-info":[{"award-number":["K23AG072042"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Homebound older adults experience high rates of multimorbidity, frailty, and social isolation; yet few interventions target homebound older adults. We completed \u201cStrength on Wheels\u201d, a randomized controlled trial evaluating a nutrition and exercise intervention for homebound older adults that showed no differences in physical measures but improvements in loneliness for those in the exercise group. We now seek to understand their qualitative experiences with the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study analyzed free\u2010text responses from biweekly surveys and an exit survey within the 12\u2010week Strength on Wheels intervention, which combined home\u2010delivered meals through Meals on Wheels with a home\u2010based exercise program. Structured content analysis was used to identify prominent themes across participant comments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009101, mean age 74\u2009years) reported enjoying meals and engaging with the exercise materials, though many reported ongoing pain and concerns about falls. Experiences with a commercial activity tracker were mixed: some found it motivating, while others reported difficulty charging, interpreting icons, or keeping track of the device. Participants also identified additional supports, such as social engagement, cognitive activities, physical therapy, transportation, and home modifications, as important for maintaining independence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Future work should refine nutrition and exercise programs for homebound older adults to better address their complex needs and support independence at home.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70780","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:16:27Z","timestamp":1791465387000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences With a Combined Meal Delivery and Home\u2010Based Exercise Intervention Among Homebound Older Adults"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2399-3343","authenticated-orcid":false,"given":"Melissa R.","family":"Cruz","sequence":"first","affiliation":[{"name":"Department of Management, Policy and Community Health UTHealth Houston School of Public Health  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7172","authenticated-orcid":false,"given":"Lisa","family":"Juckett","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola Robles","family":"Cordova","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Joan and Stanford Alexander Division of Geriatric and Palliative Medicine University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7902-7745","authenticated-orcid":false,"given":"Jessica","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Joan and Stanford Alexander Division of Geriatric and Palliative Medicine University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Administration for Community Living \u201c2021 Profile of Older Americans (online) \u201d 2022accessed on December 18 2025 https:\/\/acl.gov\/sites\/default\/files\/Profile%20of%20OA\/2021%20Profile%20of%20OA\/2021ProfileOlderAmericans_508.pdf."},{"key":"e_1_2_11_3_1","unstructured":"Centers for Disease Control \u201cAbout Chronic Diseases \u201d 2019accessed on December 18 2025 https:\/\/www.cdc.gov\/chronicdisease\/about\/index.html."},{"key":"e_1_2_11_4_1","unstructured":"National Council on Aging (NCOA) \u201cHealthy Aging Facts: Chronic Disease \u201d 2019accessed on December 18 2025 https:\/\/www.ncoa.org\/news\/resources\u2010for\u2010reporters\/get\u2010the\u2010facts\/healthy\u2010aging\u2010facts."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnha.2024.100283"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2023.2167030"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.34747"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2022.2041145"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010018\u20101038\u20100"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902\u2010020\u20100491\u2010z"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12778"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2024.03.013"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/978-3-031-52928-3_10","volume-title":"Exercise for Aging Adults","author":"Brach J. 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